Direct Access Physiotherapy in the Pediatric Emergency Department

McGill University Health Centre/Research Institute of the McGill University Health Centre66 enrolled

Overview

The goal of this clinical trial is to compare two methods of managing low acuity musculoskeletal complaints in children and adolescents ages 6 to 17.99 years in the pediatric emergency department. The main question it aims to answer is whether delivering care in two methods is feasible. Participants will receive care while in the emergency department and will be followed for a period of 1-month post-presentation.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Musculoskeletal Pain Musculoskeletal Diseases or Conditions

Interventions

Interdisciplinary managementOTHER

assessment and treatment in an interdisciplinary model

usual careOTHER

assessment and treatment in usual care model

Eligibility

Sex: ALLMin age: 6 YearsMax age: 17 Years

Medical Language ↔ Plain English

Inclusion Criteria: * aged 6.00-17.99 years of age * present to the Montreal Children's Hospital Emergency Department with a suspected MSK complaint, traumatic or not * are given a triage score of 3 (urgent), 4 (less urgent), or 5 (nonurgent) according to the Canadian Triage and Acuity Scale (CTAS) * are able to communicate in French or English Exclusion Criteria: * present with a major MSK condition requiring urgent care (e.g., open fracture, open wound) * a red flag (e.g. progressive neurological disorder, infectious symptoms) * a co-morbid unstable condition.

Locations (1)

McGill University Health Center

Montreal, Quebec, Canada

Outcomes

Primary Outcomes

Rate of consent

rate of consented patients related to patients approached rate of randomization, feasibility of administration of outcomes

Time frame: through study completion an average of 4 weeks post-enrolment

Completed outcome measures

proportion of participants who complete all outcome measures

Time frame: through study completion an average of 4 weeks post-enrolment

Secondary Outcomes

Pain intensity on faces rating scale

Pain intensity on faces rating scale, scale from 0 to 10, with 10 being a worse score

Time frame: through study completion an average of 4 weeks post-enrolment

Pain interference with function PROMIS scale

PROMIS Pediatric Pain Interference - Short Form 8a, 8 items scores from 1-5 with 5 being a worse outcome

Time frame: through study completion an average of 4 weeks post-enrolment

Data from ClinicalTrials.gov

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